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Fig 1.

A CONSORT flowchart: Among 52 patients screened for eligibility (Brunnstrom Stage III, disease duration ≤6 months), none were excluded due to severe joint deformities, Mini-Mental State Examination (MMSE) <24, or other reasons.

After randomization, 26 participants were assigned to each group. One participant from the E group discontinued the intervention, and one from the C group was lost to follow-up, resulting in 25 completers per group for final analysis.

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Fig 1 Expand

Fig 2.

Intervention design diagram: Figure a: Shows a patient wearing a heart rate monitor.

Figures b to f depict participants in the experimental group performing Zhan Zhuang (standing meditation), Du Li Bu (single-leg stance), Ce Xing Bu (lateral stepping), forward stepping, and backward stepping exercises, respectively. Figures a* and b* illustrate participants in the control group undergoing four-limb linkage practice and slope standing training, respectively.

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Fig 2 Expand

Table 1.

Comparison of baseline characteristics between the E group and C group.

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Table 1 Expand

Table 2.

FMA-LE scores before and after intervention.

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Table 2 Expand

Table 3.

Comparison of holden walking function classification between groups.

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Table 3 Expand

Fig 3.

Hip joint ROM improvements.

(a) Flexion, (b) extension, (c) abduction. Data are mean ± SD. ***p < 0.001, **p < 0.01, *p < 0.05, ns: not significant.

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Fig 3 Expand

Fig 4.

Knee joint range of motion (ROM) improvements.

(a) Flexion, (b) external rotation, (c) internal rotation. Data are mean ± SD. ***p < 0.001, **p < 0.01, *p < 0.05, ns: not significant.

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Fig 4 Expand

Fig 5.

Ankle joint ROM improvements.

(a) Dorsiflexion, (b) plantarflexion, (c) inversion, (d) eversion. Data are mean ± SD. ***p < 0.001, **p < 0.01, *p < 0.05, ns: not significant.

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Fig 5 Expand